Question 1. Define a therapeutic milieu and relate it to your observations of group therapy.Therapeutic milieu groups aim to help increase clients self-esteem, decrease social isolation, encourage appropriate social behaviors, and educate clients in basic living skills. In my clinical experience, the therapeutic milieu was lead by a social worker. After gathering all the patients that desired participation, the social worker gave a topic to the clients that began discussion. The topic he chose that particular day was “what is your goal for the day”? He then went around the room and asked each client that question and they would answer. He then asked more relating questions to try to make them elaborate on their answer. I believe that this was very therapeutic to the patients because it shows that they are not alone and other people in society are also experiencing mental health problems. Question 2. Discuss the primary role of a nurse on the psychiatric acute care unit.

Psychiatric mental health nurses work with the people who are in crisis or who are experiencing life problems, as well as those with long term mental illnesses. The clients may include people with a mental disorder or with a substance abuse disorder. The main focus of the psychiatric mental health nurse is to promote and maintain optimal mental functioning, to prevent mental illnesses (or further dysfunction) and to help clients regain or improve their coping abilities. Question 3. List the interdisciplinary team members that participate in client care for acute care related to mental illness.

The clients care is planned and implemented by a team composed of nurses, social workers, counselors, psychologists, occupational and activity therapists, psychiatrists, medical physicians, mental health workers, pharmacists, and other members of hospitals health care team, according to the client’s needs. Question 4. Tell how your personal experience impacted you. What...

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...Girl, Interrupted
Girl, Interrupted is an autobiographical book written by Susana Kaysen which was turned in to a movie. Susana Kaysen expressed promiscuous behavior earlier in her life and was sent to the Claymore Mental Hospital to be analyzed. Throughout her development at Claymore, Susana formed bonds with a group of girls she would have never met until she was sent to Claymore. Claymore Hospital allowed these girls to become so close, and without this experience Susana would not be the girl she has turned out to be. These girls had a special friendship that caused each and every one of them to pull together and make it through there time spent at Claymore. (Wikipedia 2)
Each girl at Claymore has their problems, and most of their problems are very different from the next patient. This makes the atmosphere of Claymore a very strange and unpredictable place. The nurses and doctors at Claymore are very nice and attentive of all the patients. One nurse in particular plays a major role in the movie, Val who becomes quite close with a few of the girls. She always makes sure the girls have what they need to make them feel more comfortable in the hospital.
The group of girls Susana becomes closest to consists of Lisa, "the rebellious one," Daisy, "the daddy's little girl," and Torch "the follower". Each...

...Girl, Interrupted is about a 18 year old girl named Susanna Kaysen and the events that happened to her during her stay at the Claymoore Hospital. The movie begins when Susanna starts taking a large amount of aspirin, and later believed that she was trying to commit suicide, but she denies it. Susanna was sent to the Claymoore Hospital for some “rest.” There, she befriends some of the patients living in the ward. Susanna then met Lisa, who is a diagnosedsociopath, and befriended her too. The two girls later start causing trouble around the ward. Susanna later learn that she was diagnosed with borderline personality disorder. I agree with both Susanna and Lisa diagnosis of being a borderline and a sociopath.
I agree with Susanna diagnosis of being a borderline, because she has showed 5 out of the 9 criterias for it. One of them is suicidal behavior, Susanna showed this at the beginning of the movie, where she took too much aspirin and a bottle of vodka, and nearly killing herself. That brings up one area in impulsivity, substance abuse. Another area in impulsivity would be promiscuous sex. In the movie, Susanna had an affair with her high school teacher and slept 2 guys in the same day. Another criteria would be emptiness, when Lisa wasn’t at the ward for a while Susanna became less active, she would just lay on her bed. One scene shows Susanna lashing out at one of the nurse when she got dumped into a...

...Running Head: BPD in Girl Interrupted
Borderline Personality Disorder in Girl Interrupted
Girl Interrupted is a movie based on Susanna Kaysen’s novel, which was inspired by her stay in a mental institution in the 1960s. Incidentally the main character, played by Winona Ryder, is named Susanna. She is eighteen years old and begins the movie by reflecting back on the events leading up to her visit to the psychologist. She has just graduated from high school and other than being an aspiring writer, has no plans for her life. In addition she has flashbacks of her attempted suicide, though she denies taking a bottle of aspirin with vodka. When she was brought to the hospital they found bruises on her wrist, but she claimed she had no bones in her wrist. The psychologist concluded that Susanna needed some rest and sent her to Claymore, which is a private mental institution. In the institution, the psychiatrist diagnosis’s Susanna with borderline personality disorder. While in the institution Susanna meets various other women with disorders ranging from eating disorders to psychopaths. After two years she is released from the institution and deemed clear.
There are many theories behind why people develop such personality disorders. The theories take psychoanalytic, contemporary, and/or developmental approaches to discover the various reasons why people develop with given personalities. According to Otto Kernberg,...

...Girl, Interrupted
Girl, interrupted does indeed portray the psychological disorder accurately. Borderline personality disorder (BPD) you are often having a insecure sense of who you are, your self-image, self identity or sense of self often rapidly change. Symptoms of borderline personality order consist of impulsive behavior, wide mood swings, feeling misunderstood, alone, empty, and suicidal thoughts. Susana engages herself with promiscuous actions like sleeping with her mother’s friends husband. Susan also attempted suicide by taking a whole bottle of aspirin and washing it down with vodka. While in the emergency room, Susana claims that she doesn’t have bones in her wrist, and grew back upon arrival at the hospital. While her stay in the asylum Susana takes part in some impulsive behavior by running away with Lisa another patient in the asylum. Susana strikes as the kind of person who doesn’t belong in a place like this and is a nice girl. One of the nurses Valarie who is an exceptional nurse can’t be a doctor due to her ethnicity. Susana always respected Valarie until she picked up the behavior from Lisa and cussed out Valarie, which would be an example of her mood swings
I found Girl, interrupted to be a great movie to help me grasp the concept of a borderline personality disorder. Although at first her outbursts didn’t seem too much out of the norm. In my opinion it’s just the typical attitude of a teenager...

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Walk the Line
What about Bob?
When a Man Loves a Woman
Girl, Interrupted
Movie Summary and Psychological Examples
The movie, Girl, Interrupted, is based on the book of the same name by author Susanna Kaysen. It is based on her memoir of her time spent at a mental institution in the late 1960’s.
Movie Summary
Susanna Kaysen (played by Winona Ryder) was 18 years old when she voluntarily checked herself into Claymoore Hospital after an overdose of aspirin chased with vodka. Her stay extends beyond what she expected and is nearly two years. She denies that she was attempting to commit suicide.
While at Claymoore, Susanna befriends her fellow patients, most notably, Lisa (played by Angelina Jolie). Susanna is particularly fascinated by Lisa who is an alluring sociopath. Lisa had been a patient at Claymoore many times and returns to the ward after running away. She realizes that her best friend’s bed has been taken by Susanna. She demands to know what happened to her best friend, and soon realizes that she committed suicide. Lisa befriends Susanna and the two start misbehaving. Lisa encourages Susanna to stop taking her medications and/or trade them with others. Lisa leads all the girls into the psychiatrist’s office at night to read their own case files and diagnosis.
During a visit outside...

...﻿ Sociopath
so·ci·o·path
ˈsōsēōˌpaTH/
noun
noun: sociopath; plural noun: sociopaths
A person with a personality disorder manifesting itself in extreme antisocial attitudes and behavior and a lack of conscience.
The Symptom
1 Consider the individual's personality and mannerisms. 1Sociopaths are usually extremely charming. 2Their personalities are described as magnetic, they generate a lot of attention. They also tend to have a strong sexual energy, or be sex addicts.
2 Take the person's past and present behavior into account. 1Sociopaths exhibit daring behavior. 2They seem to act outside , risky, or outrageous things without assessing the potential repercussions.
3 Consider the person's relationship with others. Because sociopaths are such dominant leaders, they are usually able to attract a following of some kind. These people tend to be weaker, more passive individuals who have been intoxicated by the sociopath's charm.
http://www.wikihow.com/Determine-if-Someone-Is-a-Sociopath
The Cause
It's not certain what causes someone to become a sociopath; however, it's believed to be caused by nature, nurture or abnormal brain activity. In other words, while some contend it's due to a genetic disposition in families, others believe it's...

...
ENWR 106-16
Hoeflinger
25 Feb 2014
Girl
What makes a woman? Femininity and masculinity have long been defined and divided along gender lines that were never meant to be crossed; a man or woman who does not fit the archetypical picture of their strict gender-biased boundaries is shunned and stereotyped. A woman who does not embody the perception of the perfect wife and mother, especially in the 1950s-60s, would have been considered unladylike. In Jamaica Kincaid’s “Girl”, the matters of womanhood and femininity are expressed as a mother teaches her daughter the rules and restrictions that come along with being a lady, especially those that will help her to be accepted in society.
Though this story came out in 1978, it is very likely that Kincaid intended it to harken back to the 1950s and 60s, when it was big for women to be very feminine, so the mother is teaching the daughter how to uphold this societal demand. The mother tells her daughter how to clean a house and mend clothing because that is what society expects her to be able to do. It is also important to note that while this story does not seem to take place in the United States, but rather in Kincaid’s childhood home of Antigua, the same subjective roles of womanhood were widely spread through the western world. During the 1970s, especially in America, women were more acceptably unrestricted in the sense that, for the first time, there were two clear categories: rebellious women,...

...January 2013
RR 54
Jamaica Kincaid’s short story “Girl” is of a complicated relationship with her mother that comes out in the mother-daughter dynamic in the story. The mother, obviously a dominant figure in the young girl’s upbringing, informs the young girl of various duties associated with being a young, dignified lady. Her mother gives the daughter advice to make her the "proper" woman she should in fact be, and this advice gets more and more firm as the story continues.
“Girl” is a very well suitable title for this story because the mother is instructing the child of the appropriate steps to take to become a woman, and had she already been a young woman then it wouldn’t be based off the mother acknowledging her of such things. The mother does most of the talking; she delivers a long series of warnings to the daughter, who twice responds but whose responses go unnoticed by the mother. For example, in the story the young girl asks if it was true that you sing benna in Sunday school. The mother, however, ignores her while continuing to tell her how to chew food in an appropriate way that won’t turn someone else’s stomach (157.) The simple fact that her mother opts to ignore her daughter lets the reader know that the daughter is very young because her mother felt that what she asked had no relation to the matter at hand and was a question a “child” would ask so therefore chose to disregard her; which further...